North Carolina › Wake County › Cary
Highfield Nursing and Rehabilitation
6590 Tryon Road, Cary, NC 27518
Ratings are based on the most recent data available; a facility's ratings may have changed since the last update. The health inspection rating is based on the three most recent standard surveys and complaint investigations. CMS processed this record on 1 Aug 2026. View the Care Compare record.
Highfield Nursing and Rehabilitation is a For-profit, corporation nursing home in Cary, North Carolina, certified for 120 beds and caring for about 105 residents a day.
CMS gives it 1 of 5 stars overall, below the North Carolina median of 3; the health inspection rating is 2, staffing 1 and quality measures 4.
Inspectors recorded 20 health deficiencies across the three most recent survey cycles (2, 10, 8 by cycle, most recent first), 4 of them at the actual-harm or immediate-jeopardy level. That is 16.7 per 100 beds, about the same as the state median of 15.6.
CMS lists 2 penalties in the period covered: fines totalling $176K.
Compared with county, state and nation
| Measure | This facility | Wake Co. median | North Carolina median | US average |
|---|---|---|---|---|
| Overall star rating | 1 | 3 | 3 | 3.0 |
| Health citations, 3 cycles | 20 | 12 | 16 | 28.7 |
| Citations per 100 beds | 16.7 | 11.5 | 15.6 | 26.8 |
| Total nurse hours per resident day | — | 3.7 | 3.5 | 3.9 |
| RN hours per resident day | — | 0.5 | 0.5 | 0.7 |
| Nursing staff turnover | 53.2% | 40.2% | 48.6% | 45.8% |
| Fines listed | $175,559 | $7,901 | $8,512 | — |
County and state figures are medians across facilities (21 in the county, 419 in the state); the US column is the CMS national average where CMS publishes one.
Citations by survey cycle
Dark bar: this facility. Grey bar: North Carolina average per facility for the same cycle, as published by CMS. Standard health survey dates: 26 Mar 2026, 22 Nov 2024.
Severity mix: J ×4 D ×10 E ×5 B ×1
Health deficiencies
Every health citation in the current CMS record (three survey cycles), most recent first. Tag text is the CMS requirement summary, not the inspection narrative.
Scope and severity letters (A–L)
| Survey date | Tag | What the tag requires | Severity | Type | Corrected |
|---|---|---|---|---|---|
| 26 Mar 2026 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | E | Complaint investigation | 13 Apr 2026 |
| 26 Mar 2026 | F0880 | Provide and implement an infection prevention and control program. | D | Standard survey | 13 Apr 2026 |
| 28 Feb 2025 | F0600 | Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. | J | Complaint investigation | 8 Feb 2025 |
| 28 Feb 2025 | F0584 | Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. | D | Complaint investigation | 20 Mar 2025 |
| 28 Feb 2025 | F0806 | Ensure each resident receives and the facility provides food that accommodates resident allergies, intolerances, and preferences, as well as appealing options. | D | Complaint investigation | 20 Mar 2025 |
| 28 Feb 2025 | F0807 | Ensure each resident receives and the facility provides drinks consistent with resident needs and preferences and sufficient to maintain resident hydration. | D | Complaint investigation | 20 Mar 2025 |
| 22 Nov 2024 | F0580 | Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. | J | Complaint investigation | 18 Dec 2024 |
| 22 Nov 2024 | F0684 | Provide appropriate treatment and care according to orders, resident’s preferences and goals. | J | Complaint investigation | 18 Dec 2024 |
| 22 Nov 2024 | F0692 | Provide enough food/fluids to maintain a resident's health. | J | Complaint investigation | 18 Dec 2024 |
| 22 Nov 2024 | F0641 | Ensure each resident receives an accurate assessment. | D | Standard survey | 18 Dec 2024 |
| 22 Nov 2024 | F0919 | Make sure that a working call system is available in each resident's bathroom and bathing area. | D | Standard survey | 18 Dec 2024 |
| 24 Oct 2024 | F0602 | Protect each resident from the wrongful use of the resident's belongings or money. | D | Complaint investigation | 20 Jul 2024 |
| 27 Jun 2024 | F0550 | Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. | E | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0677 | Provide care and assistance to perform activities of daily living for any resident who is unable. | E | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0835 | Administer the facility in a manner that enables it to use its resources effectively and efficiently. | E | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0583 | Keep residents' personal and medical records private and confidential. | D | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0607 | Develop and implement policies and procedures to prevent abuse, neglect, and theft. | D | Complaint investigation | 20 Jun 2024 |
| 27 Jun 2024 | F0655 | Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted | D | Complaint investigation | 24 Jul 2024 |
| 27 Jun 2024 | F0657 | Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. | B | Complaint investigation | 24 Jul 2024 |
| 8 Nov 2023 | F0578 | Honor the resident's right to request, refuse, and/or discontinue treatment, to participate in or refuse to participate in experimental research, and to formulate an advance directive. | E | Standard survey | 6 Dec 2023 |
Penalties
| Date | Type | Amount | Detail |
|---|---|---|---|
| 28 Feb 2025 | Fine | $17,345 | |
| 22 Nov 2024 | Fine | $158,214 |
Staffing
Hours per resident per day as reported through the Payroll-Based Journal; grey bars are the North Carolina average. Turnover: nursing staff 53.2%, RNs 66.7%; 1 administrator left in the reporting year.
Quality measures
| Measure | Residents | This facility | North Carolina median | US median |
|---|---|---|---|---|
| Percentage of long-stay residents whose need for help with daily activities has increased | Long Stay | 17.4% | 14.4% | 12.6% |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | Long Stay | 0.0% | 0.4% | 0.3% |
| Percentage of long-stay residents with a urinary tract infection | Long Stay | 1.3% | 1.8% | 0.9% |
| Percentage of long-stay residents experiencing one or more falls with major injury | Long Stay | 3.3% | 3.3% | 2.8% |
| Percentage of short-stay residents who newly received an antipsychotic medication | Short Stay | 0.2% | 1.1% | 1.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | Long Stay | 20.4% | 17.0% | 12.5% |
| Percentage of long-stay residents with pressure ulcers | Long Stay | 5.3% | 5.2% | 4.2% |
| Percentage of long-stay residents who received an antipsychotic medication | Long Stay | 4.3% | 13.2% | 13.4% |
Four-quarter averages for the measures CMS uses in the quality-measure star rating (2025Q2-2026Q1). Lower is better for every measure listed. Medians are computed across facilities on this site.
Ownership
Ownership type: for-profit, corporation. Legal business name: 6590 Tryon Road Opco Llc. Chain: Avardis Health (38 facilities).
| Organisation | Role in the CMS record | Interest | Since |
|---|---|---|---|
| Cary Parentco LLC | Direct ownership interest | NOT APPLICABLE | 06/01/2025 |
| Ncop Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| SNF Care Centers LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Str Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Zenith Holdco LLC | Indirect ownership interest | NOT APPLICABLE | 06/01/2025 |
| Fc Encore Cary, LLC | 5% or greater security interest | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Operational/managerial control | NOT APPLICABLE | 05/01/2025 |
| Fc Encore Cary, LLC | Adp of the snf | NOT APPLICABLE | 05/01/2025 |
| SNF Mgr LLC | Adp of the snf | NOT APPLICABLE | 04/17/2025 |
Only organisations are shown. CMS also records individual owners, officers and managing employees; this site does not publish people's names.
Other nursing homes in Wake County
| Facility | City | Beds | Overall | Health | Staffing | Citations | Per 100 beds | Fines | Last survey |
|---|---|---|---|---|---|---|---|---|---|
| Bellarose Nursing and Rehab | Garner | 100 | 5 | 5 | 4 | 2 | 2.0 | — | 9 Dec 2022 |
| Glenaire | Cary | 71 | 5 | 4 | 5 | 4 | 5.6 | — | 31 Dec 2025 |
| Hillside Nursing Center of Wake Forest | Wake Forest | 130 | 5 | 5 | 3 | 1 | 0.8 | — | 8 Jun 2023 |
| Rex Rehab & Nursing Care Center | Raleigh | 120 | 5 | 4 | 5 | 9 | 7.5 | $16K | 21 Aug 2025 |
| The Rosewood Health Center | Raleigh | 57 | 5 | 4 | 5 | 4 | 7.0 | — | 6 Jun 2025 |
| Unc Rex Rehab & Nursing Care Center of Apex | Apex | 107 | 5 | 5 | 5 | 5 | 4.7 | — | 6 Apr 2023 |
| Capital Nursing and Rehabilitation Center | Raleigh | 125 | 4 | 4 | 3 | 14 | 11.2 | — | 7 Aug 2025 |
| Hillcrest Raleigh At Crabtree Valley | Raleigh | 134 | 4 | 4 | 4 | 6 | 4.5 | — | 14 May 2026 |
All 21 facilities in Wake County
Questions and answers
How many deficiencies has Highfield Nursing and Rehabilitation been cited for?
20 health deficiencies across the three most recent survey cycles, 4 at the actual-harm or immediate-jeopardy level. The North Carolina median is 16 per facility.
Has Highfield Nursing and Rehabilitation been fined?
Yes. CMS lists fines totalling $176K in the period covered.
How does staffing at Highfield Nursing and Rehabilitation compare?
CMS does not report staffing hours for this facility.
Who operates Highfield Nursing and Rehabilitation?
It is part of the Avardis Health chain. Ownership type is for-profit, corporation. Organisations in the CMS ownership record include Cary Parentco LLC, Ncop Holdco LLC and SNF Care Centers LLC. Individual owners and managers are not listed on this site.
When was Highfield Nursing and Rehabilitation last inspected?
The most recent survey or investigation in the CMS record is dated 26 Mar 2026; the most recent standard health survey was 26 Mar 2026.
Where does this data come from?
All figures are from the Centers for Medicare & Medicaid Services Care Compare datasets (provider information, health deficiencies, penalties, ownership and quality measures), processed 1 Aug 2026. Ratings and citations may change; the Care Compare record is authoritative.
Provenance
Source: Centers for Medicare & Medicaid Services, Care Compare nursing home datasets (provider information, health deficiencies, penalties, ownership, MDS quality measures, state and national averages), public domain, processed by CMS on 1 Aug 2026. Facility record: Care Compare. Errors in processing are corrected at the next daily build; see corrections.